OAKS OF DUNN COUNTY INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: OAKS OF DUNN COUNTY INC (EIN 39-1913323)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2021-11-08
IRS object ID: 202143129349301499
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-08T09:08:23-06:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	476097913	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SEIM JOHNSON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT STREET SUITE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391913323	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OAKS OF DUNN COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OAKS	BusinessNameControlTxt
Phone	4028963884	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4980 SOUTH 118TH STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68137	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTIN ROSSOW	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	4028963884	PhoneNum
Signature	2021-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KRISTIN	PersonFirstNm
Person Last	ROSSOW	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY R COOLEY	PreparerPersonNm
PTIN	P01523804	PTIN
Phone	4023302660	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KRISTIN ROSSOW	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4980 SOUTH 118TH STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68137	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$657,891	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MOSAICINFO.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	THE OAKS OF DUNN COUNTY PROVIDES SUPPORTED LIVING TO SENIORS LIVING IN MENOMONIE, WI. THE FACILITY OFFERS SECURE, ACCESSIBLE, AND MAINTENANCE-FREE HOMES IN A HOUSING COMPLEX WITH COMMON SPACE AND BASIC SERVICES, INCLUDING TRANSPORTATION, WEEKLY HOUSEKEEPING, LAUNDRY SERVICES, PLANNED ACTIVITIES, AND A DAILY MAIN MEAL.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$33,996	CYContributionsGrantsAmt
PY Program Service Revenue	$466,338	PYProgramServiceRevenueAmt
CY Program Service Revenue	$471,246	CYProgramServiceRevenueAmt
PY Investment Income	$31,088	PYInvestmentIncomeAmt
CY Investment Income	$45,203	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$497,426	PYTotalRevenueAmt
CY Total Revenue	$550,445	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$174,367	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$183,252	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$298,896	PYOtherExpensesAmt
CY Other Expenses	$321,416	CYOtherExpensesAmt
PY Total Expenses	$473,263	PYTotalExpensesAmt
CY Total Expenses	$504,668	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,163	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$45,777	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,641,095	TotalAssetsBOYAmt
Total Assets EOY	$2,774,722	TotalAssetsEOYAmt
Total Liabilities BOY	$1,911,050	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,892,214	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$730,045	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$882,508	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE OAKS OF DUNN COUNTY PROVIDES SUPPORTED LIVING TO SENIORS LIVING IN MENOMONIE, WI. THE FACILITY OFFERS SECURE, ACCESSIBLE, AND MAINTENANCE-FREE HOMES IN A HOUSING COMPLEX WITH COMMON SPACE AND BASIC SERVICES, INCLUDING TRANSPORTATION, WEEKLY HOUSEKEEPING, LAUNDRY SERVICES, PLANNED ACTIVITIES, AND A DAILY MAIN MEAL. THE OAKS OF DUNN COUNTY IS AN AFFILIATE OF MOSAIC. MOSAIC IS A FAITH-BASED ORGANIZATION SERVING PEOPLE WITH DEVELOPMENTAL DISABILITIES SO THAT ALL MAY REALIZE GOD'S GIFT OF WHOLENESS OF LIFE. WE ARE GUIDED BY THE PRINCIPLE THAT "EVERY INDIVIDUAL IS A PERSON OF WORTH." MOSAIC'S STAFF MEMBERS AND VOLUNTEERS PROVIDE INDIVIDUALIZED SERVICES, LIVING OPTIONS, WORK CHOICES, SPIRITUAL NURTURING, AND ADVOCACY TO APPROXIMATELY 3,500 INDIVIDUALS IN MORE THAN 50 COMMUNITIES ACROSS 12 STATES. INTERESTED PEOPLE CAN FIND MORE INFORMATION REGARDING THE OAKS OF DUNN COUNTY AT WWW.MOSAICINFO.ORG OR BY CALLING 715-235-7793.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$477,410	ExpenseAmt
Revenue	$471,246	RevenueAmt
Desc	PROVIDE RESIDENTIAL HOUSING AND SUPPORTED LIVING TO SENIORS. THE FACILITY OFFERS SECURE, ACCESSIBLE, AND MAINTENANCE-FREE HOMES IN A HOUSING COMPLEX WITH COMMON SPACE AND BASIC SERVICES, INCLUDING TRANSPORTATION, WEEKLY HOUSEKEEPING, LAUNDRY SERVICES, PLANNED ACTIVITIES, AND A DAILY MAIN MEAL.	Desc
Total Program Service Expenses	$477,410	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	3	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT HOFFMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4028963884	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4980 SOUTH 118TH STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68137	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
MARLIN WILKERSON
PRESIDENT	0.10	39.90	Yes (X)	Yes (X)	$0	$285,805	$35,426
KRISTIN ROSSOW
TREASURER	0.10	39.90	Yes (X)	Yes (X)	$0	$175,721	$29,484
CAROL MAU
VICE PRESIDENT	0.10	39.90	Yes (X)	Yes (X)	$0	$171,333	$23,823
JULIE ZITTERGRUEN
SECRETARY	0.10	39.90	Yes (X)	Yes (X)	$0	$128,643	$12,528

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$761,502	TotReportableCompRltdOrgAmt
Total Other Compensation	$101,261	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$33,996	RelatedOrganizationsAmt
Total Contributions	$33,996	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RENTAL INCOME	532000	$449,107	$449,107
NON-REFUNDABLE FEES	532000	$21,550	$21,550

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$589	TotalRevenueColumnAmt
Related Or Exempt Func Income	$589	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$471,246	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,119	TotalRevenueColumnAmt
Exclusion	$28,119	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$124,530	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$107,446	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,084	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,084	TotalRevenueColumnAmt
Exclusion	$17,084	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$550,445	TotalRevenueColumnAmt
Related Or Exempt Func Income	$471,246	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$45,203	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$156,287	TotalAmt
Program Services	$156,287	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,172	TotalAmt
Program Services	$15,172	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,793	TotalAmt
Program Services	$11,793	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$27,182	TotalAmt
Management And General	$27,182	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$76	TotalAmt
Management And General	$76	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,010	TotalAmt
Program Services	$6,010	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,250	TotalAmt
Program Services	$50,250	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$59,184	TotalAmt
Program Services	$59,184	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$113	TotalAmt
Program Services	$113	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,426	TotalAmt
Program Services	$22,426	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$96,755	TotalAmt
Program Services	$96,755	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,328	TotalAmt
Program Services	$21,328	ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
FOOD COSTS	$37,771	$37,771
DUES, FEES & REGISTRATI	$321	$321

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$504,668	TotalAmt
Program Services	$477,410	ProgramServicesAmt
Management And General	$27,258	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$17,262	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$11,250	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,382,125	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,812,219	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,595,159	BOYAmt
EOY	$1,569,906	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,045,661	BOYAmt
EOY	$1,176,139	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$275	BOYAmt
EOY	$165	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,641,095	BOYAmt
EOY	$2,774,722	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,620	BOYAmt
EOY	$15,933	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$594,637	BOYAmt
EOY	$435,449	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,305,793	BOYAmt
EOY	$1,440,832	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,911,050	BOYAmt
EOY	$1,892,214	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$720,045	BOYAmt
EOY	$872,508	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,000	BOYAmt
EOY	$10,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$730,045	BOYAmt
EOY	$882,508	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,641,095	BOYAmt
EOY	$2,774,722	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$45,777	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$106,686	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year	$33,996	CurrentTaxYearAmt
Total	$33,996	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$554,249	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$498,390	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$370,851	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$466,338	CurrentTaxYearMinus1YearAmt
Current Tax Year	$471,246	CurrentTaxYearAmt
Total	$2,361,074	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$554,249	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$498,390	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$370,851	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$466,338	CurrentTaxYearMinus1YearAmt
Current Tax Year	$505,242	CurrentTaxYearAmt
Total	$2,395,070	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,395,070	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,990	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,503	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$36,124	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$28,786	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,119	CurrentTaxYearAmt
Total	$142,522	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,990	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,503	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$36,124	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$28,786	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,119	CurrentTaxYearAmt
Total	$142,522	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$579,239	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$522,893	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$406,975	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$495,124	CurrentTaxYearMinus1YearAmt
Current Tax Year	$533,361	CurrentTaxYearAmt
Total	$2,537,592	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.94380	PublicSupportCY509Pct
Public Support PY509	0.94630	PublicSupportPY509Pct
Investment Income CY	0.05620	InvestmentIncomeCYPct
Investment Income PY	0.05370	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000	BeginningYearBalanceAmt
End Year Balance	$10,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000	BeginningYearBalanceAmt
End Year Balance	$10,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000	BeginningYearBalanceAmt
End Year Balance	$10,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000	BeginningYearBalanceAmt
End Year Balance	$10,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000	BeginningYearBalanceAmt
End Year Balance	$10,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$95,195	OtherCostOrOtherBasisAmt
Book Value	$95,195	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,214,107	OtherCostOrOtherBasisAmt
Depreciation	$1,739,396	DepreciationAmt
Book Value	$1,474,711	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,204	OtherCostOrOtherBasisAmt
Depreciation	$49,204	DepreciationAmt
Book Value	$0	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,619	OtherCostOrOtherBasisAmt
Depreciation	$23,619	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,569,906	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
TENANT SECURITY DEPOSITS	$458,995
AFFILIATE PAYABLE	$981,837

Field	Value	IRS element (for citing)
Total Liability	$1,440,832	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE ORGANIZATION'S INTENDED USE OF THE TEMPORARILY RESTRICTED NET ASSETS IS FOR PROGRAM PURPOSES AS RESTRICTED BY THE DONORS.

PART X, LINE 2:

THE FOLLOWING FOOTNOTE IS TAKEN FROM THE CONSOLIDATED FINANCIAL STATEMENTS: ALL CONSOLIDATED AFFILIATED ENTITIES, EXCEPT FOR MOSAIC HOUSING CORP V, INC., EASE-E MEDICAL, INC. (EASE-E) AND BICO ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OR 501(C)(2) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN MOSAIC'S TAX EXEMPT STATUS. MOSAIC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. SUCH TAX POSITIONS, WHICH ARE MORE THAN 50% LIKELY OF BEING REALIZED, ARE MEASURED AT THEIR HIGHEST VALUE. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2021 AND 2020, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARLIN WILKERSON
PRESIDENT	$0	$254,859	$0	$30,000	$0	$946	$0	$16,274	$0	$19,152	$0	$321,231	$0	$0
KRISTIN ROSSOW
TREASURER	$0	$171,795	$0	$3,265	$0	$661	$0	$4,822	$0	$24,662	$0	$205,205	$0	$0
CAROL MAU
VICE PRESIDENT	$0	$158,868	$0	$11,500	$0	$965	$0	$4,671	$0	$19,152	$0	$195,156	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE SALARIES OF KRISTIN ROSSOW, MARLIN WILKERSON, CAROL MAU AND JULIE ZITTERGRUEN ARE PAID FROM A RELATED ORGANIZATION, MOSAIC. MOSAIC'S BOARD AND EXECUTIVE COMMITTEE USE AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY IN ESTABLISHING THE COMPENSATION OF THE PRESIDENT AND CEO OF MOSAIC AND GUIDELINES FOR OTHER KEY STAFF.
SCHEDULE J, PART II, COLUMN C:	MOSAIC EVALUATES THE LIABILITY RELATED TO THEIR POSTRETIREMENT BENEFITS (SALARY AND HEALTH INSURANCE CONTINUATION) THROUGH AN ACTUARIAL REVIEW. THE ADJUSTMENT IS INCLUDED IN RETIREMENT AND OTHER DEFERRED COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7A	THE MOSAIC BOARD OF DIRECTORS APPOINTS THE OAKS OF DUNN COUNTY'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY THE TREASURER OF THE ORGANIZATION AND THEN SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY AND SUBMITS IT TO THE CHAIRPERSON OF THE MOSAIC'S BOARD GOVERNANCE RISK AND INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE TREASURER AND MOSAIC'S CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. ANY NEW CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE REQUIRED TO BE REPORTED AT THAT TIME.
FORM 990, PART VI, SECTION B, LINE 15	OAKS OF DUNN COUNTY, INC. DOES NOT PAY COMPENSATION TO A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OFFICERS, OR ANY OTHER KEY EMPLOYEES. THEREFORE, A PROCESS FOR DETERMINING COMPENSATION HAS NOT BEEN ESTABLISHED.
FORM 990, PART VI, SECTION C, LINE 19	INDIVIDUALS MAY REQUEST MOSAIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN E-MAIL REQUEST FORM, WHICH IS AVAILABLE ON MOSAIC'S PUBLIC WEBSITE (WWW.MOSAICINFO.ORG).
FORM 990, PART XII, LINE 2C:	THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOSAIC
4980 S 118 ST	OMAHA	NE	68137	113669999	SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES	NE	501(C)(3)	LINE 10	N/A	0
THE MOSAIC FOUNDATION INC
4980 S 118 ST	OMAHA	NE	68137	363837360	FUNDRAISING & INVESTMENT ASSET MANAGEMENT	NE	501(C)(3)	LINE 12A, I		Yes (1)	MOSAIC
MOSAIC HOUSING CORP I
4980 S 118 ST	OMAHA	NE	68137	363756911	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP II
4980 S 118 ST	OMAHA	NE	68137	470773689	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP IV
4980 S 118 ST	OMAHA	NE	68137	911823422	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP VII
4980 S 118 ST	OMAHA	NE	68137	470828015	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP VIII
4980 S 118 ST	OMAHA	NE	68137	470828012	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP IX
4980 S 118 ST	OMAHA	NE	68137	742838413	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP X
4980 S 118 ST	OMAHA	NE	68137	742908789	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XI
4980 S 118 ST	OMAHA	NE	68137	311706640	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XII
4980 S 118 ST	OMAHA	NE	68137	481297244	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XIII
4980 S 118 ST	OMAHA	NE	68137	421626679	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XIV - ROCKFORD
4980 S 118 ST	OMAHA	NE	68137	204417891	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XV - COUNCIL BLUFFS
4980 S 118 ST	OMAHA	NE	68137	205765691	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XVI - FARMINGTON
4980 S 118 ST	OMAHA	NE	68137	205765731	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XVII - BEATRICE
4980 S 118 ST	OMAHA	NE	68137	261710013	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XVIII - OSCEOLA-WAUKON
4980 S 118 ST	OMAHA	NE	68137	261710184	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XIX - WINFIELD
4980 S 118 ST	OMAHA	NE	68137	261710259	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XX - GARDEN CITY
4980 S 118 ST	OMAHA	NE	68137	264555206	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XXI - MEMPHIS
4980 S 118 ST	OMAHA	NE	68137	264555313	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORP XXII - LOGAN
4980 S 118 ST	OMAHA	NE	68137	273483415	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC HOUSING CORPORATION XXIII - AUSTIN
4980 S 118 ST	OMAHA	NE	68137	710875364	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC ILLINOIS HOUSING I
4980 S 118 ST	OMAHA	NE	68137	202997161	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC ILLINOIS HOUSING II
4980 S 118 ST	OMAHA	NE	68137	204417645	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC ILLINOIS HOUSING AT MACOMB I
4980 S 118 ST	OMAHA	NE	68137	204841909	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC ILLINOIS HOUSING OF ROCKFORD I
4980 S 118 ST	OMAHA	NE	68137	204841856	LOW INCOME HOUSING	NE	501(C)(3)	LINE 10		Yes (1)	MOSAIC
MOSAIC EMPLOYEE WELFARE BENEFIT PLAN
4980 S 118 ST	OMAHA	NE	68137	363831874	EMPLOYEE WELFARE BENEFIT PLAN	NE	501(C)(9)	N/A		Yes (1)	MOSAIC
MOSAIC SENIOR SERVICES INC
4980 S 118 ST	OMAHA	NE	68137	831746407	SENIOR LIVING SERVICES	AZ	501(C)(3)	LINE 12A, I		Yes (1)	MOSAIC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4980 S 118 ST	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68137	ZIPCd

Field	Value	IRS element (for citing)
EIN	271695051	EIN
Primary Activities	LOW INCOME HOUSING	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
EASE-E MEDICAL INC
731 SOUTH 8TH STREET	CANON CITY	CO	81212	470842353	MEDICAL EQUIPMENT/SUPPLIES SALES	NE	N/A	C	Yes (1)
MOSAIC HOUSING CORPORATION V
4980 S 118 ST	OMAHA	NE	68137	470805545	LOW INCOME HOUSING	NE	N/A	C	Yes (1)
BICO
4980 S 118 ST	OMAHA	NE	68137		CAPTIVE INSURANCE		N/A	C	Yes (1)	BD
CHARITABLE REMAINDER TRUSTS (3)
					INVESTMENT MANAGEMENT	NE	N/A	T	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd